Individual
MS. JENNIFER D PAVEGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1967 LAKESIDE PKWY STE 400, TUCKER, GA 30084-5867
(404) 327-5841
Mailing address
1967 LAKESIDE PKWY STE 400, TUCKER, GA 30084-5867
(404) 327-5841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004602
GA
1041C0700X
Clinical Social Worker
16751
FL
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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